Atypical Tuberculous Spondylitis: A Report of Two Cases.
10.4184/jkss.2015.22.3.127
- Author:
Hak Jin MIN
1
;
Hyung Gon RYU
;
Seong Kee SHIN
Author Information
1. Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, Republic of Korea. 1435man@hanmail.net
- Publication Type:Case Report
- Keywords:
Tuberculous spondylitis;
Atypical;
Biopsy
- MeSH:
Abscess;
Aged;
Biopsy;
Decompression;
Diagnosis;
Drainage;
Early Diagnosis;
Epidural Abscess;
Female;
Fractures, Compression;
Humans;
Middle Aged;
Neurologic Manifestations;
Prognosis;
Serologic Tests;
Spondylitis*;
Vertebroplasty
- From:Journal of Korean Society of Spine Surgery
2015;22(3):127-132
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Case study of two cases. OBJECTIVES: The aim of our study is to describe atypical patterns of tuberculous spondylitis. SUMMARY OF LITERATURE REVIEW: Few reports of tuberculous spondylitis have discussed atypical cases, which resulted in a poor prognosis due to the delay in early diagnosis and proper treatment. MATERIALS AND METHODS: A 74-year-old female underwent an incision and drainage, and posterior decompression and fusion (PDF) due to tuberculous epidural abscess after vertebroplasty of a compression fracture at T12. A 52-year-old female underwent interbody fusion and posterior lateral fusion (PLF) because of aggravation of an abscess and neurologic symptoms following non-invasive intervention to treat atypical tuberculous spondylitis. RESULTS: Clinical symptoms and serological tests of the patients were improved at postoperative 6 months. CONCLUSIONS: When a patient presents with focal bony or soft tissue abnormality on an image study, the possibility of non-typical tuberculous spondylitis has to be considered when infective spondylitis or a tumor is detected. Moreover, an invasive diagnosis tool such as biopsy will be needed for proper management.
